CT abdomen and pelvis with contrast at Ochsner LSU Health Shreveport - St. Mary Medical Center. CPT 74177.
What Ochsner LSU Health Shreveport - St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$440cash price (self-pay)
$1,571list price
$317–$1,100range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health (Healthy Louisiana) | All Payor | $317 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $317 |
| Healthy Blue (Formerly Amerigroup Louisiana Inc.) | All Payor | $317 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $317 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $317 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $317 |
| Humana Military � Tricare | All Payor | $318 |
| (Healthy Louisiana) And Healthy Blue Dual Advantage (HMO-D-Snp) | All | $329 |
| Aetna Health Inc. - Medicare Advantage | All Payor | $329 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $329 |
| Humana � Medicare Advantage | All Payor | $329 |
| Optum Va Ccn | All Payor | $329 |
| Peoples Health Network � Medicare Advantage | All Payor | $329 |
| United Healthcare - Medicare Advantage | All Payor | $329 |
| United Healthcare D-Snp (Dual Eligible Special Needs Plan) | All Payor | $329 |
| Vantage Health Plan - Commercial | All Payor | $362 |
| Verity Health Network � Lsu First Choice | All Payor | $513 |
| Zelis | All Payor | $571 |
| Cigna Healthcare | All Payor | $595 |
| Aetna Health Inc. PPO/POS | All Payor | $686 |
| First Health Network | All Payor | $686 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $730 |
| Blue Cross Blue Shield Of Louisiana Blue Connect | All Payor | $730 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $730 |
| United Healthcare - Commercial Heritage | All Payor | $798 |
| Healthcomp PPO (Formerly Gilsbar 360 | All Payor | $823 |
| United Healthcare - Commercial HMO PPO | All Payor | $833 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $846 |
| Multiplan/Phcs/American Lifecare | All Payor | $1,100 |
Inpatient
$440cash price (self-pay)
$1,571list price
—range insurers pay
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All common services at Ochsner LSU Health Shreveport - St. Mary Medical Center